Cat-to-human orthopoxvirus transmission, northeastern Italy.
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ABSTRACT:
SUBMITTER: Carletti F
PROVIDER: S-EPMC2681114 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:BackgroundThe invasive mosquito species, Aedes japonicus japonicus, was detected in northeastern Italy for the first time in 2015, at the border with Austria. After this finding, a more intensive monitoring was carried out to assess its distribution and to collect biological data. Herein, we report the results of four years (2015-2018) of activity.MethodsThe presence of Ae. j. japonicus was checked in all possible breeding sites through collections of larvae. The monitoring started from the site of the first detection at the Austrian border and then was extended in all directions. The mosquitoes were identified morphologically and molecularly.ResultsAedes j. japonicus was found in 58 out of 73 municipalities monitored (79.5%). In total (2015-2018), 238 sampling sites were monitored and 90 were positive for presence of Ae. j. japonicus larvae (37.8%). The mosquito was collected mainly in artificial containers located in small villages and in rural areas. Cohabitation with other mosquito species was observed in 55.6% of the samplings.ConclusionsAedes j. japonicus is well established in Italy and in only four years has colonised two Italian Regions, displaying rapid spreading throughout hilly and mountainous areas. Colonization towards the south seems limited by climatic conditions and the occurrence of a large population of the larval competitor, Ae. albopictus. The further spread of Ae. j. japonicus has the potential to pose new threats of zoonotic agents (i.e. Dirofilaria spp. and West Nile virus) within areas at altitudes previously considered at negligible risk in Italy.
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Project description:ObjectiveAn improvement in iodine status in Veneto Region has been documented in the last decade. We aimed at estimating the incidence of hyperthyroidism in the Veneto Region (Italy) over the period 2013-2022.MethodsRetrospective population-based study conducted in Veneto (4.9 million people) using the population registry, an administrative health database. Between 2012 and 2022, hyperthyroidism incidence was defined thank to a health-care co-payment exemption for hyperthyroidism or any hospital diagnosis of hyperthyroidism. Incident hyperthyroidism was defined from 2013 to 2022 to exclude prevalent cases. Standardized incidence rates (IRs) were reported by age, sex, and etiology of thyroid hyperfunction too.ResultsWe identified 26,602 incident cases (IR of 54.38 per 100,000 person-years, 2.47-fold higher in females than in males). IR decreased from 69.87 (95% CI: 67.49, 72.25) in 2013 to 42.83 (95% CI: 40.99, 44.66) in 2022. In 2020, an out-of-trend decrease in hyperthyroidism incidence was documented, corresponding to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic outbreak, with a realignment to the trend in the subsequent years. The annual percentage change according to the cause of hyperthyroidism was as follows: -6.62% (95% CI: 8.47, 4.73) (P < 0.0001) in toxic multinodular goiter, -7.56% in toxic uninodular goiter (95% CI: 10.54, 4.48) (P < 0.001) and -4.70% (95% CI: 6.33, 3.04) in toxic diffuse goiter (Graves' disease) (P < 0.001).ConclusionsWe documented a decline in the incidence of hyperthyroidism in Veneto Region, paralleling the improvement of the iodine status, thanks to a long and sustained iodine prophylaxis campaign. SARS-CoV-2 pandemic and vaccination campaign did not change the declining trend of hyperthyroidism incidence in our study region.Significance statementAn improvement in iodine status in the population residing in the Veneto region has been documented in the last decade, thanks to a nationwide voluntary iodine prophylaxis program running since 2005, but its impact on the epidemiology of thyroid disease has never been documented. This is the largest study on the incidence rates of hyperthyroidism carried out in Italy and covers the longest observation period among all regionwide population-based studies of hyperthyroidism in our country. We documented a reduction in the incidence of hyperthyroidism, which was more pronounced in nodular goiter diagnosis but involved also toxic diffuse goiter. The decline in the incidence of hyperthyroidism in Veneto Region shows the efficacy and safety of the iodine prophylaxis campaign.
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